COMMON MARKET
STUDENT TEACHING REQUEST
MUST BE TYPED OR PRINTED LEGIBLY
From:
To:
Bemidji State University
Saint Cloud State University
Minnesota State University-Mankato
Minnesota State University-Moorhead
Southwest State University
Winona State University
Bemidji State University
Saint Cloud State University
Minnesota State University-Mankato
Minnesota State University-Moorhead
Southwest State University
Winona State University
VERIFICATION OF EDUCATION MINNESOTA LIABILITY INSURANCE
MUST BE PROVIDED TO HOST UNIVERSITY
SIGNATURE
Name
Local Address
Permanent Address
Major(s)
License
DATE
ID#
Student Teaching
Sem. & Yr.
Credits Desired
Date
Phone
Phone
Minor(s)
Choice of grades / subjects, in order of preference:
(What do you want to student teach?)
1.
2.
3.
Choice of 3 towns, in order of preference:
(Consult Director for site availability.)
1.
2.
3.
Schools Attended:
Elementary School / Town/State
Year
Middle J.H. School / Town/State
Year
Sr. High School / Town/State
Year
List any special considerations:
FOR OFFICE USE ONLY
I,
(Director of Student Teaching)
certify that he/she is eligible for this assignment and meets
all standards required by this institution.
COPIES TO: HOME UNIVERSITY AND HOST UNIVERSITY
COMMON MARKET
INFORMATION FORM
Name
Date
Student ID #
Local Address
Phone
Home Address
Phone
REQUIRED COURSES AND CREDITS IN MAJOR AND FIELD OF EMPHASIS/MINOR
Star (*) courses that will not be completed before Student Teaching
Major:
Course Title
Copies to:
Credits
Home University
Host University
Cooperating Teachers
Emphasis/Minor:
Course Title
Credits
Suggestions for Common Market Autobiography
(Maximum length 2-3 pages)
The autobiography should emphasize hoe your life experiences have contributed to your decision to
become a teacher and should be an example of your very best written communication skills. It will be
reviewed by field experience directors, cooperating teachers, university supervisors and others involved
in the placement process. Be sure to type your name in the upper right hand corner of the first
page of the autobiography.
Proofread your autobiography prior to submitting it. It is important to have another person or two proof it
again for spelling and/or grammatical errors. Your autobiography must be typed. Submit 3 copies when
complete.
A poorly completed autobiography may cause a delay or reflect on your application for a student
teaching assignment. This autobiography should be written in narrative style. It does not need
to be written in chronological order. Some suggestions for content are as follows:
Introduction:
Introduce yourself.
Elementary School:
This might include the schools you attended and things which you
considered important. For example, did you have any outstanding
teachers? (Please do not use names.)
Secondary School:
Where did you go to school? What subjects did you like? In what
extra-curricular activities did you participate? What things
impressed you? Indicate an outstanding teacher you had and what
made you like him/her. (Please do not use names.)
Work Experience, Skills,
Hobbies, Interests, and
Travel
Were you in the service? If so, where? Have you had jobs? If so,
what kind? If you have traveled, indicate where to and why.
College:
What colleges have you attended? What types of activities have
you taken part in during your college life?
Career Goals:
What goals do you have for the near future? What do you expect to
be doing ten years from now?
Sample Resume for Common Market Resume
PETER C. JOHNSON
Present Address:
5800 Bemidji Avenue
Bemidji, MN 56601
218-751-1234
Permanent Address:
4301 Taylor Avenue
St. Paul, MN 55123
616-644-7890
EDUCATION
Bemidji State University, Bemidji, MN
Bachelor of Science Degree, 1991
Major:
Elementary Education
Specialty:
Mathematics
Licensure Sought:
1-6,
Emphasis/Minor:
Middle School Coaching
Bemidji High School, Bemidji, MN (Year Graduated)
ACTIVITIES AND RECOGNITION
College
Dean’s List (Sem/Qtr & Yrs)
Overseas Student Teaching
Intramural Sports
High School
Honor Roll
Varsity Baseball
Varsity Wrestling
Band
Speech
Choir
EXPERIENCE RELATED TO TEACHING
Math Practicum
Science Practicum
Pre-Student Teaching
Coaching Practicum
Scout Leader
Special Olympics Volunteer
5th Grade, Solway, Fall 1990
2nd Grade, Bemidji Central, Winter 1990
5th Grade, Bemidji Northern, Fall 1990
Varsity Volleyball, Bemidji High School, 1990
Ages 10-12, St. Paul, 1986-87
All ages, St. Paul, 1984
OTHER WORKING EXPERIENCE
School Bus Driver
Vending Service
Cook, Host
School District No. 31, Bemidji, 1984-88
Yellowstone National Park, WY, Summers 86-87
Bonanza Steak House, Bemidji, MN 1982-84
INTERESTS
Hunting, Health Fitness, Reading, Cooking, Music, Fishing, Traveling, Hiking, Needlework